Sandra Lee Reinke Venden PSYD

NPI 1144414715 - Psychologist - 103TC0700X

NPI Details
NPI 1144414715
Gender Female
Enumeration Date 08/28/2007
Last Updated 08/31/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
LAKE VILLA IL, 60046-8664, US
Phone (847) 365-3322
Business Location
PO BOX 1088
LAKE VILLA IL, 60046-1088, US
Phone (847) 365-3322
Taxonomy Code 103TC0700X
License State Illinois
License Number 71007100
Remove 1144414715 NPI Number

According to our database, Dr. Sandra Lee Reinke Venden PSYD NPI is 1144414715, taxonomy code is 103TC0700X and license number is 71007100, license state is located at Illinois. Sandra Lee Reinke Venden PSYD physically located at 420 W Grand Ave, Lake Villa IL, 60046-8664. NPI Number Sandra Lee Reinke Venden PSYD has the Individual type.

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1144414715 NPI number is provided on an as is basis without warranty of any kind. 1144414715 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra Lee Reinke Venden PSYD are for informational purposes only.